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RIVERSIDE SPINE & PHYSICAL MEDICINE
NPI 1720407570
Orthopaedic Surgery in Clarksville, TN

Active since April 09, 2014CLIA 44D2234080 · Waiver
121 W DUNBAR CAVE RD, CLARKSVILLE, TN 37040(931) 542-9420(931) 542-9422 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 13, 2023, Nov 13, 2017 (2 updates tracked since 2017).

About Riverside Spine & Physical Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE SPINE & PHYSICAL MEDICINE (NPI 1720407570) is a healthcare organization registered as an orthopaedic surgery in Clarksville, Tennessee and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through August 11, 2028 and lists Cynthia J Chester, Admin, as its authorized official.

NPPES Registry Identity

NPI1720407570
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameRIVERSIDE SPINE & PHYSICAL MEDICINE, PC
Location Address121 W DUNBAR CAVE RDClarksville, TN 37040-6037
Mailing Address121 W Dunbar Cave RdClarksville, TN 37040-6037 · (931) 542-9420 · Fax (931) 542-9422
Phone(931) 542-9420
Fax(931) 542-9422
Organization SubpartNo
Authorized OfficialCynthia J ChesterAdmin · (931) 542-9420
Enumeration DateApril 9, 2014
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1720407570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · MD28572
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
121 W DUNBAR CAVE RD, Clarksville, TN 37040
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Other Names 1

Doing Business AsRiverside Spine & Physical Medicine

Other Identifiers 2

Other1336490266IL · 1336490266
Other1598899429TN · 1598899429

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2234080

Riverside Spine And Physical Medicine · Clarksville, TN
Active · expires Aug 11, 2028
CLIA Number44D2234080
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2026
Certificate Expiration DateAugust 11, 2028
Laboratory DirectorDr. Robert E. Jackson
Laboratory Phone(931) 542-9420
Laboratory LocationRiverside Spine And Physical Medicine121 W Dunbar Cave Rd, Clarksville, TN 37040
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ADRIANE K WENCEL PT
Physical Therapist
121 W DUNBAR CAVE RD
CLARKSVILLE, TN 37040
Montgomery County (931) 542-9420
REVA MAE FIELDER
Physical Therapy Assistant
121 W DUNBAR CAVE RD
CLARKSVILLE, TN 37040
Montgomery County (931) 538-4820
JAMES BROOKS
Physical Therapy Assistant
121 W DUNBAR CAVE RD
CLARKSVILLE, TN 37040
Montgomery County (931) 542-9420
JESSIE LEIGH STEWART DC
Chiropractor
121 W DUNBAR CAVE RD
CLARKSVILLE, TN 37040
Montgomery County (931) 542-9420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Spine & Physical Medicine, PC's NPI number?

The NPI number for Riverside Spine & Physical Medicine, PC is 1720407570. It was assigned to this organization in the NPPES registry on April 9, 2014. The provider is doing business as Riverside Spine & Physical Medicine.

Where is Riverside Spine & Physical Medicine, PC located?

Riverside Spine & Physical Medicine, PC is located at 121 W Dunbar Cave Rd, Clarksville, TN 37040. The listed phone number is (931) 542-9420.

What is Riverside Spine & Physical Medicine, PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Riverside Spine & Physical Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2234080) is associated with this NPI, valid through August 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Riverside Spine & Physical Medicine, PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Riverside Spine & Physical Medicine, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside Spine & Physical Medicine, PC was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.